Medical - Healthcare Plans
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UNH vs CVS vs ELV
Revenue, margins, valuation, and 5-year total return — side by side.
Medical - Healthcare Plans
Medical - Healthcare Plans
UNH vs CVS vs ELV — Key Financials
Market cap, revenue, margins, and valuation side-by-side.
| Company Snapshot | |||
|---|---|---|---|
| Industry | Medical - Healthcare Plans | Medical - Healthcare Plans | Medical - Healthcare Plans |
| Market Cap | $333.37B | $111.32B | $81.37B |
| Revenue (TTM) | $449.71B | $407.90B | $200.41B |
| Net Income (TTM) | $12.04B | $2.93B | $5.24B |
| Gross Margin | 18.8% | 13.9% | 23.2% |
| Operating Margin | 4.2% | 1.5% | 3.8% |
| Forward P/E | 20.1x | 12.1x | 14.0x |
| Total Debt | $78.39B | $93.59B | $33.23B |
| Cash & Equiv. | $24.36B | $8.51B | $9.49B |
UNH vs CVS vs ELV — Long-Term Stock Performance
Price return indexed to 100 at period start. Dividends excluded.
| Stock | May 20 | May 26 | Return |
|---|---|---|---|
| UnitedHealth Group … (UNH) | 100 | 120.5 | +20.5% |
| CVS Health Corporat… (CVS) | 100 | 132.5 | +32.5% |
| Elevance Health Inc. (ELV) | 100 | 127.4 | +27.4% |
Price return only. Dividends and distributions are not included.
Quick Verdict: UNH vs CVS vs ELV
Each card shows where this stock fits in a portfolio — not just who wins on paper.
UNH is the clearest fit if your priority is long-term compounding.
- 220.3% 10Y total return vs ELV's 206.0%
- Combined ratio 1.0 vs CVS's 1.0 (lower = better underwriting)
CVS carries the broadest edge in this set and is the clearest fit for income & stability and defensive.
- Dividend streak 0 yrs, beta 0.05, yield 3.1%
- Beta 0.05, yield 3.1%, current ratio 0.84x
- Lower P/E (12.1x vs 14.0x)
ELV is the clearest fit if your priority is growth exposure and sleep-well-at-night.
- Rev growth 12.6%, EPS growth -2.2%, 3Y rev CAGR 8.3%
- Lower volatility, beta 0.46, Low D/E 75.5%, current ratio 1.24x
- 12.6% revenue growth vs CVS's 7.8%
See the full category breakdown
| Category | Winner | Why |
|---|---|---|
| Growth | 12.6% revenue growth vs CVS's 7.8% | |
| Value | Lower P/E (12.1x vs 14.0x) | |
| Quality / Margins | Combined ratio 1.0 vs CVS's 1.0 (lower = better underwriting) | |
| Stability / Safety | Beta 0.05 vs UNH's 0.59 | |
| Dividends | 3.1% yield, vs UNH's 2.4% | |
| Momentum (1Y) | +35.2% vs ELV's -7.8% | |
| Efficiency (ROA) | 4.3% ROA vs CVS's 1.1%, ROIC 9.1% vs 5.0% |
UNH vs CVS vs ELV — Revenue Breakdown by Segment
How each company's revenue is distributed across its business units
UNH vs CVS vs ELV — Financial Metrics
Side-by-side numbers across 3 stocks — who leads on profitability, valuation, growth, and risk.
Income & Cash Flow (Last 12 Months)
UNH leads this category, winning 3 of 6 comparable metrics.
Income & Cash Flow (Last 12 Months)
UNH is the larger business by revenue, generating $449.7B annually — 2.2x ELV's $200.4B. Profitability is closely matched — net margins range from 2.7% (UNH) to 0.7% (CVS). On growth, CVS holds the edge at +6.2% YoY revenue growth, suggesting stronger near-term business momentum.
| Metric | |||
|---|---|---|---|
| RevenueTrailing 12 months | $449.7B | $407.9B | $200.4B |
| EBITDAEarnings before interest/tax | $23.2B | $9.4B | $8.9B |
| Net IncomeAfter-tax profit | $12.0B | $2.9B | $5.2B |
| Free Cash FlowCash after capex | $19.7B | $7.4B | $6.5B |
| Gross MarginGross profit ÷ Revenue | +18.8% | +13.9% | +23.2% |
| Operating MarginEBIT ÷ Revenue | +4.2% | +1.5% | +3.8% |
| Net MarginNet income ÷ Revenue | +2.7% | +0.7% | +2.6% |
| FCF MarginFCF ÷ Revenue | +4.4% | +1.8% | +3.2% |
| Rev. Growth (YoY)Latest quarter vs prior year | +2.0% | +6.2% | +2.6% |
| EPS Growth (YoY)Latest quarter vs prior year | +0.7% | +63.1% | -16.8% |
Valuation Metrics
CVS leads this category, winning 4 of 6 comparable metrics.
Valuation Metrics
At 14.9x trailing earnings, ELV trades at a 76% valuation discount to CVS's 62.5x P/E. On an enterprise value basis, ELV's 10.9x EV/EBITDA is more attractive than UNH's 16.6x.
| Metric | |||
|---|---|---|---|
| Market CapShares × price | $333.4B | $111.3B | $81.4B |
| Enterprise ValueMkt cap + debt − cash | $387.4B | $196.4B | $105.1B |
| Trailing P/EPrice ÷ TTM EPS | 27.76x | 62.49x | 14.92x |
| Forward P/EPrice ÷ next-FY EPS est. | 20.06x | 12.13x | 14.00x |
| PEG RatioP/E ÷ EPS growth rate | — | — | 2.16x |
| EV / EBITDAEnterprise value multiple | 16.61x | 13.10x | 10.88x |
| Price / SalesMarket cap ÷ Revenue | 0.74x | 0.28x | 0.41x |
| Price / BookPrice ÷ Book value/share | 3.29x | 1.46x | 1.89x |
| Price / FCFMarket cap ÷ FCF | 20.74x | 14.26x | 25.64x |
Profitability & Efficiency
ELV leads this category, winning 7 of 9 comparable metrics.
Profitability & Efficiency
ELV delivers a 11.9% return on equity — every $100 of shareholder capital generates $12 in annual profit, vs $4 for CVS. ELV carries lower financial leverage with a 0.75x debt-to-equity ratio, signaling a more conservative balance sheet compared to CVS's 1.24x. On the Piotroski fundamental quality scale (0–9), UNH scores 6/9 vs CVS's 5/9, reflecting solid financial health.
| Metric | |||
|---|---|---|---|
| ROE (TTM)Return on equity | +11.5% | +3.9% | +11.9% |
| ROA (TTM)Return on assets | +3.9% | +1.1% | +4.3% |
| ROICReturn on invested capital | +9.2% | +5.0% | +9.1% |
| ROCEReturn on capital employed | +9.7% | +6.1% | +8.2% |
| Piotroski ScoreFundamental quality 0–9 | 6 | 5 | 6 |
| Debt / EquityFinancial leverage | 0.77x | 1.24x | 0.75x |
| Net DebtTotal debt minus cash | $54.0B | $85.1B | $23.7B |
| Cash & Equiv.Liquid assets | $24.4B | $8.5B | $9.5B |
| Total DebtShort + long-term debt | $78.4B | $93.6B | $33.2B |
| Interest CoverageEBIT ÷ Interest expense | 4.71x | 4.19x | 5.39x |
Total Returns (Dividends Reinvested)
CVS leads this category, winning 5 of 6 comparable metrics.
Total Returns (Dividends Reinvested)
A $10,000 investment in CVS five years ago would be worth $11,843 today (with dividends reinvested), compared to $9,746 for UNH. Over the past 12 months, CVS leads with a +35.2% total return vs ELV's -7.8%. The 3-year compound annual growth rate (CAGR) favors CVS at 10.8% vs UNH's -7.3% — a key indicator of consistent wealth creation.
| Metric | |||
|---|---|---|---|
| YTD ReturnYear-to-date | +9.8% | +10.1% | +6.3% |
| 1-Year ReturnPast 12 months | -4.7% | +35.2% | -7.8% |
| 3-Year ReturnCumulative with dividends | -20.4% | +35.9% | -15.3% |
| 5-Year ReturnCumulative with dividends | -2.5% | +18.4% | +4.0% |
| 10-Year ReturnCumulative with dividends | +220.3% | +3.9% | +206.0% |
| CAGR (3Y)Annualised 3-year return | -7.3% | +10.8% | -5.4% |
Risk & Volatility
CVS leads this category, winning 2 of 2 comparable metrics.
Risk & Volatility
CVS is the less volatile stock with a 0.05 beta — it tends to amplify market swings less than UNH's 0.59 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. CVS currently trades 98.0% from its 52-week high vs ELV's 88.3% drawdown — a narrower gap to the peak suggests stronger recent price momentum.
| Metric | |||
|---|---|---|---|
| Beta (5Y)Sensitivity to S&P 500 | 0.59x | 0.05x | 0.46x |
| 52-Week HighHighest price in past year | $404.72 | $88.63 | $424.24 |
| 52-Week LowLowest price in past year | $234.60 | $58.35 | $273.71 |
| % of 52W HighCurrent price vs 52-week peak | +90.7% | +98.0% | +88.3% |
| RSI (14)Momentum oscillator 0–100 | 74.5 | 57.1 | 73.4 |
| Avg Volume (50D)Average daily shares traded | 8.1M | 7.4M | 1.9M |
Analyst Outlook
Evenly matched — UNH and CVS each lead in 1 of 2 comparable metrics.
Analyst Outlook
Analyst consensus: UNH as "Buy", CVS as "Buy", ELV as "Buy". Consensus price targets imply 9.6% upside for CVS (target: $95) vs 2.0% for ELV (target: $382). For income investors, CVS offers the higher dividend yield at 3.08% vs ELV's 1.84%.
| Metric | |||
|---|---|---|---|
| Analyst RatingConsensus buy/hold/sell | Buy | Buy | Buy |
| Price TargetConsensus 12-month target | $385.43 | $95.20 | $382.38 |
| # AnalystsCovering analysts | 52 | 41 | 37 |
| Dividend YieldAnnual dividend ÷ price | +2.4% | +3.1% | +1.8% |
| Dividend StreakConsecutive years of raises | 25 | 0 | 15 |
| Dividend / ShareAnnual DPS | $8.70 | $2.67 | $6.89 |
| Buyback YieldShare repurchases ÷ mkt cap | +1.7% | 0.0% | +3.2% |
CVS leads in 3 of 6 categories (Valuation Metrics, Total Returns). UNH leads in 1 (Income & Cash Flow). 1 tied.
UNH vs CVS vs ELV: Key Questions Answered
10 questions · data-driven answers · updated daily
01Is UNH or CVS or ELV a better buy right now?
For growth investors, Elevance Health Inc.
(ELV) is the stronger pick with 12. 6% revenue growth year-over-year, versus 7. 8% for CVS Health Corporation (CVS). Elevance Health Inc. (ELV) offers the better valuation at 14. 9x trailing P/E (14. 0x forward), making it the more compelling value choice. Analysts rate UnitedHealth Group Incorporated (UNH) a "Buy" — based on 52 analyst ratings — the highest consensus in this comparison. The "better buy" depends entirely on your goals: growth investors should weight revenue trajectory, value investors should weight P/E and PEG, and income investors should weight dividend yield and streak.
02Which has the better valuation — UNH or CVS or ELV?
On trailing P/E, Elevance Health Inc.
(ELV) is the cheapest at 14. 9x versus CVS Health Corporation at 62. 5x. On forward P/E, CVS Health Corporation is actually cheaper at 12. 1x — notably different from the trailing picture, reflecting expected earnings growth.
03Which is the better long-term investment — UNH or CVS or ELV?
Over the past 5 years, CVS Health Corporation (CVS) delivered a total return of +18.
4%, compared to -2. 5% for UnitedHealth Group Incorporated (UNH). Over 10 years, the gap is even starker: UNH returned +220. 3% versus CVS's +3. 9%. Past returns do not guarantee future results, and the stock with the higher historical return may already have its best growth priced in.
04Which is safer — UNH or CVS or ELV?
By beta (market sensitivity over 5 years), CVS Health Corporation (CVS) is the lower-risk stock at 0.
05β versus UnitedHealth Group Incorporated's 0. 59β — meaning UNH is approximately 1059% more volatile than CVS relative to the S&P 500. On balance sheet safety, Elevance Health Inc. (ELV) carries a lower debt/equity ratio of 75% versus 124% for CVS Health Corporation — giving it more financial flexibility in a downturn.
05Which is growing faster — UNH or CVS or ELV?
By revenue growth (latest reported year), Elevance Health Inc.
(ELV) is pulling ahead at 12. 6% versus 7. 8% for CVS Health Corporation (CVS). On earnings-per-share growth, the picture is similar: Elevance Health Inc. grew EPS -2. 2% year-over-year, compared to -62. 0% for CVS Health Corporation. Over a 3-year CAGR, UNH leads at 11. 4% annualised revenue growth. Higher growth typically commands a higher valuation multiple — check whether the premium P/E or P/S is justified by the growth rate using the PEG ratio.
06Which has better profit margins — UNH or CVS or ELV?
Elevance Health Inc.
(ELV) is the more profitable company, earning 2. 8% net margin versus 0. 4% for CVS Health Corporation — meaning it keeps 2. 8% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: UNH leads at 4. 2% versus 2. 6% for CVS. At the gross margin level — before operating expenses — ELV leads at 25. 6%, reflecting greater pricing power or product mix advantage. Stronger margins indicate durable pricing power, lower cost of revenue, or higher mix of software/services. They are one of the clearest signs of business quality.
07Is UNH or CVS or ELV more undervalued right now?
On forward earnings alone, CVS Health Corporation (CVS) trades at 12.
1x forward P/E versus 20. 1x for UnitedHealth Group Incorporated — 7. 9x cheaper on a one-year earnings basis. Analyst consensus price targets imply the most upside for CVS: 9. 6% to $95. 20.
08Which pays a better dividend — UNH or CVS or ELV?
All stocks in this comparison pay dividends.
CVS Health Corporation (CVS) offers the highest yield at 3. 1%, versus 1. 8% for Elevance Health Inc. (ELV).
09Is UNH or CVS or ELV better for a retirement portfolio?
For long-horizon retirement investors, CVS Health Corporation (CVS) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 0.
05), 3. 1% yield). Both have compounded well over 10 years (CVS: +3. 9%, UNH: +220. 3%), confirming both are viable long-term holds — but the lower-volatility option typically results in less emotional selling during corrections. Retirement portfolios generally favour predictability over maximum returns. Consult a financial advisor before making allocation decisions.
10What are the main differences between UNH and CVS and ELV?
Both stocks operate in the Healthcare sector, making this a peer-level intra-sector comparison — the same macro tailwinds and headwinds will affect both.
In terms of investment character: UNH is a large-cap quality compounder stock; CVS is a mid-cap income-oriented stock; ELV is a mid-cap deep-value stock. These fundamental differences mean investors should not choose between them on a single metric — the "better stock" depends entirely on which of these characteristics aligns with your investment strategy.
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